Individual provider Active NPI

Toni Quinn, LMHC

  • Mental Health Counselor
  • Pawtucket, RI
National Provider Identifier
1821189762
Registry record updated Feb 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LMHC00221 Issued in RI
Practice address
160 Beechwood Ave
Pawtucket, RI 02860-5402
Phone
(401) 722-5573
Fax
(401) 726-5571
NPI assigned
Sep 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LMHC00221 RI Primary

Addresses

Primary practice location

160 Beechwood Ave
Pawtucket, RI 02860-5402

Mailing address

160 Beechwood Ave
Pawtucket, RI 02860-5402
Phone (401) 722-5573

Other identifiers 1

IdentifierTypeStateIssuer
TQ51365MedicaidRI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240118004196 RI Practitioner - Mental Health Counselor 2769834332 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Newport County Community Mental Health Center, Inc.Group PAC ID 9830089812, 28 clinicians

Practice addresses (Care Compare)

65 Valley Rd
Middletown, RI 02842-5234
Phone 40184612131117

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LMHC00221RIMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Newport County Community Mental Health Center, Inc CurrentSince Jan 1, 2024 Accepting new patients
Gateway Healthcare, Inc Past Accepting new patients
Gateway Healthcare Inc Past Accepting new patients

Locations

42 Valley Rd
Middletown, RI 02842
Phone (401) 843-1213

127 Johnny Cake Hill Rd
Middletown, RI 02842

65 Valley Rd
Middletown, RI 02842
Phone (401) 431-9870

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708387200000",
    "number": "1821189762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 BEECHWOOD AVE",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028605402",
            "telephone_number": "401-722-5573",
            "fax_number": "401-726-5571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 BEECHWOOD AVE",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028605402",
            "telephone_number": "401-722-5573",
            "fax_number": "401-726-5571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUINN",
        "first_name": "TONI",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-27",
        "last_updated": "2024-02-20",
        "certification_date": "2024-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "RI",
            "license": "LMHC00221",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "TQ51365",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pawtucket, RI

Sources for this page

Verify at the official NPI Registry.